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  1. Campbell, Amy Richmond PhD, RN, CPHQ, LSBB
  2. Kennerly, Susan PhD, RN, CNE, WCC, FAAN
  3. Swanson, Melvin PhD
  4. Forbes, Thompson PhD, RN, NE-BC
  5. Anderson, Teresa PhD, RN, NE-BC
  6. Scott, Elaine S. PhD, RN, NE-BC, FNAP


OBJECTIVE: Nurse (RN) and nursing assistant (NA) relational quality was examined along with associations between relational quality and evaluations of teamwork and communication.


BACKGROUND: RN and NA teams constitute the primary nursing care delivery method, and the quality of their relationship affects system capacity for improving patient outcomes; adverse events are linked to communication and teamwork breakdowns.


METHODS: RN (N = 889) and NA (263) relational quality was examined using a cross-sectional secondary analysis from system assessment with the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture.


RESULTS: RN and NA perceived relational quality indicated significant differences in teamwork and safety grade ratings, with both groups reporting perceived teamwork as high when patient safety grade was low.


CONCLUSIONS: This study supports the benefits of improving the RN-NA teamwork-communication relationship. An enhanced RN-NA relational quality can be used by nurse leaders to optimize patient care delivery outcomes.